Michael v. Aetna Life & Casualty Insurance

106 Cal. Rptr. 2d 240, 88 Cal. App. 4th 925
CourtCalifornia Court of Appeal
DecidedMay 30, 2001
DocketB131509
StatusPublished
Cited by25 cases

This text of 106 Cal. Rptr. 2d 240 (Michael v. Aetna Life & Casualty Insurance) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Michael v. Aetna Life & Casualty Insurance, 106 Cal. Rptr. 2d 240, 88 Cal. App. 4th 925 (Cal. Ct. App. 2001).

Opinion

Opinion

KITCHING, J.

I. Introduction

An insurer appeals from an order vacating a fire insurance appraisal award because of alleged “corruption” in a party-selected appraiser pursuant to *930 Code of Civil Procedure section 1286.2, subdivision (b). 1 Insurance Code section 2071 requires appraisers to be “disinterested.” Since an appraisal agreement is subject to the California Arbitration Act (§ 1280 et seq.), we conclude that to be “disinterested,” a party-selected appraiser must make the disclosure that section 1281.9, subdivision (e) requires all arbitrators to make.

Among other requirements, section 1281.9, subdivision (e) requires an appraiser to disclose matters that would cause a person aware of the facts to reasonably entertain a doubt that the appraiser would be able to be impartial. We find that a failure to make this disclosure constitutes “corruption in any of the arbitrators” and therefore provides a ground for vacating an appraisal award under section 1286.2, subdivision (b). In this case, under section 1281.9, subdivision (e), the facts did not require disclosure by the party-selected appraiser. Therefore no “corruption” in the appraiser existed that required vacation of the appraisal award pursuant to section 1286.2, subdivision (b). We therefore reverse the order vacating the appraisal award.

II. Facts and Procedural History

Plaintiff Dr. Mahfouz Michael, doing business as Mark John Medical Group (Michael), conducted a medical practice in a building at 2651 South Western Avenue in Los Angeles. Aetna Life & Casualty Insurance Company (Aetna), affiliated with Farmington Casualty Company (Farmington), issued a policy insuring those premises. During rioting on April 30, 1992, fire destroyed the insured premises.

Michael notified Aetna of the loss and demanded indemnification for damage to the building and interruption of the business. When Aetna failed to compensate him for these losses, Michael sued Aetna for breach of insurance contract, breach of the implied covenant of good faith and fair dealing, and breach of fiduciary duty.

The fire insurance policy contained a clause providing for an appraisal procedure to resolve disputes about the value of property or the amount of loss. 2 Aetna exercised its right under the policy and initiated an appraisal.

Before August 1, 1997, Aetna selected R. Dixon Grier, a certified public accountant and a member of the firm of Matson, Driscoll & Damico *931 (MD&D), as its appraiser. Michael selected David Fox as his appraiser. Grier and Fox selected John Costello as umpire. After appraisal proceedings on January 28, 1998, the panel’s award, issued February 17, 1998, determined that Mark John Medical Group sustained $356,249 in lost business income and incurred $95,000 necessary expenses. Umpire Costello and appraiser Grier signed the award. Appraiser Fox did not sign the award.

On May 28, 1998, Michael moved to correct or vacate the appraisal panel’s award pursuant to section 1286.2. Michael requested vacation of the award on the ground that there was corruption in Aetna’s arbitrator, and specifically that Aetna’s appraiser Grier failed to inform Michael of Grier’s prior and ongoing relationship with Aetna. Michael alleged that Grier worked for Aetna on prior occasions, that the relationship of Grier and MD&D with Aetna meant Grier was not disinterested, and these business relationships and Grier’s failure to disclose them prohibited Grier from acting as appraiser.

Aetna’s opposition addressed two of Michael’s allegations of impropriety: (1) that Grier acted as a party-selected arbitrator for Aetna in an insurance claim by Sea Mar International, and (2) that other members of MD&D did business with Aetna. Aetna’s opposition argued that this evidence did not show sufficient bias to justify vacating the award.

Michael’s reply relied on further evidence discovered while the petition to vacate was pending. According to that evidence, Aetna made payments to the MD&D firm during 1996, 1997, and 1998, and made payments to MD&D specifically for Grier’s services in another arbitration, Bradford Personnel v. Trammell Crow.

On February 26, 1999, the trial court ruled that Insurance Code section 2071 required a party-selected appraiser to be “disinterested.” It found that because MD&D did substantial business with Aetna and some income went to Grier or to Grier’s professional corporation, the association between Aetna and MD&D had significant potential advantage to Grier, which was an impermissible financial interest. The court found that, at a minimum, there existed an impression of possible bias sufficient to disqualify Grier, and vacated the appraisal award.

Aetna filed a timely notice of appeal on April 23, 1999.

*932 III. Issues

The main issues in this case are:

1. Whether this appeal was properly taken;
2. What Insurance Code section 2071 means when it requires a party-selected appraiser to be “disinterested”;
3. What disclosure a party-selected appraiser must make to the parties of an appraisal pursuant to section 1281.9, subdivision (e);
4. Whether the failure to make the disclosure required by section 1281.9, subdivision (e) constitutes “corruption in any of the arbitrators” as provided by section 1286.2, subdivision (b); and
5. Whether substantial evidence supports the vacation of the appraisal award in this case.

IV. Appealability

Section 1294, subdivision (c) states: “An aggrieved party may appeal from: [¶] . . . [¶] An order vacating an award unless a rehearing in arbitration is ordered.” Aetna appealed from the trial court’s February 26, 1999, order vacating the appraisal award and setting a status conference for March 31, 1999. Michael claims that because a September 24, 1999, reporter’s transcript shows that the trial court granted Aetna’s request to compel a new appraisal, the February 26, 1999, order is not appealable. We disagree.

First, the record on appeal contains no order reflecting the September 24, 1999, ruling, which appears only in a reporter’s transcript. An order is a document which is either entered in the court’s permanent minutes or signed by the judge and stamped “filed.” (Shpiller v. Harry C.’s Redlands (1993) 13 Cal.App.4th 1177, 1179 [16 Cal.Rptr.2d 814].)

Second, the notice of appeal divested the trial court of jurisdiction. This rule protects the appellate court’s jurisdiction by preserving the status quo until this court decides the appeal, and prevents the trial court from rendering an appeal futile by altering the appealed order by conducting other proceedings that may affect it. (Betz v. Pankow

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Cite This Page — Counsel Stack

Bluebook (online)
106 Cal. Rptr. 2d 240, 88 Cal. App. 4th 925, Counsel Stack Legal Research, https://law.counselstack.com/opinion/michael-v-aetna-life-casualty-insurance-calctapp-2001.